The holder whose full name is Jacquay, Connie L.,come from Decatur IN,hold the Dental Radiographer license(NO.XT002135) which status is Expired.
| Name | Jacquay, Connie L. |
|---|---|
| License Number | XT002135 |
| License Type | Dental Radiographer |
| License Status | Expired |
| City | Decatur |
| State | IN |